Cerebral Angiography

Dr. Osborn's classic work, An Introduction to Cerebral Angiography, has now been completely revised, reorganized, and updated and expanded from an introductory book into a comprehensive, state-of-the-art reference on cerebral angiography. Coverage includes new information on vascular territories, film subtraction, and magnetic resonance angiography. The text is thoroughly illustrated with 1,200 radiographs and line drawings, all of them new to this volume. Boxed summaries are used throughout the text to highlight key points.

This book offers detailed guidance on the diagnostic use of cerebral angiography based on precise description of the angiographic appearances of normal anatomy and pathological conditions. In this third edition, every chapter has been thoroughly revised and enlarged to reflect new knowledge and experiences, and more attention is paid to the correlations between anatomopathological findings and clinical manifestations. Beyond explaining the diagnostic value of cerebral angiography, a key aim is to equip readers with the precise knowledge of the anatomy of cerebral vessels required for optimal application of endovascular therapy of pathologies involving the arteries and veins of the brain. As in preceding editions, the book is divided into two parts. The first part describes the normal anatomy, with attention to morphological aspects, embryological development, function, and vascular territories. The intraorbital and extracranial vascularization is also fully considered. The knowledge provided will serve as a sound basis for the correct interpretation of pathological processes and their clinical significance, as covered in depth in the second part of the book.

Cerebral Angiography

Cerebral Angiography is a comprehensive and well-illustrated guide to the diagnostic use of cerebral angiography. The first part of the book depicts in detail the normal appearance of the cerebral vessels on angiographic studies. Sound knowledge of this normal vascular anatomy and clinical function is vital for correct interpretation of the clinical significance of the pathological processes addressed in the second part of the book. The latter include vascular abnormalities, including angiomas, fistulas, and aneurysms; atherosclerotic and non-atherosclerotic stenosis and occlusion of the cerebral vessels; and venous thrombosis. In each case, both typical and atypical appearances are presented. While the emphasis throughout is on the diagnostic value of cerebral angiography, a number of examples of endovascular treatment are also included to highlight the evolving possibilities of therapy and the role of cerebral angiography in treatment selection.

This revised and enlarged edition of Cerebral Angiography, which includes new angiographic studies and illustrative drawings, offers detailed guidance on diagnostic use of the procedure. The first part of the book describes the normal anatomy of the cerebral arteries and veins, with attention to morphological aspect, embryological development, function and vascular territories. The intraorbital and extracranial vascularization is also considered. The reader will gain a sound knowledge of normal vascular anatomy and its variations that will serve as a basis for the correct interpretation of pathological processes and their clinical significance, as covered in the second part of the book. Among the pathologies considered are vascular abnormalities, including angiomas, fistulas and aneurysms; atherosclerotic and non-atherosclerotic stenosis and occlusion of the cerebral vessels; venous thrombosis; intraorbital and extracranial vascular malformations. Pathogenesis, morphological and dynamic aspects, responsible for clinical symptoms and influencing the therapy are described. While the emphasis throughout is on the diagnostic value of cerebral angiography, many examples of endovascular treatment in different pathological situations are also presented, with discussion of indications, risks and results.

This atlas presents normal and pathologic findings observed on CT angiography with 3D reconstruction in a diverse range of clinical applications, including the imaging of cerebral, carotid, thoracic, coronary, abdominal and peripheral vessels. The superb illustrations display the excellent anatomic detail obtained with CT angiography and depict the precise location of affected structures and lesion severity. Careful comparisons between normal imaging features and pathologic appearances will assist the reader in image interpretation and treatment planning and the described cases include some very rare pathologies. In addition, the technical principles of the modality are clearly explained and guidance provided on imaging protocols. This atlas will be of value both to those in training and to more experienced practitioners within not only radiology but also cardiovascular surgery, neurosurgery, cardiology and neurology.

Building upon the success of prior editions, Practical Neuroangiography, Third Edition, provides a detailed and richly illustrated guide to diagnostic and interventional neuroangiography and its role in the management of neurovascular disease. The Third Edition provides the new fellow with the background knowledge needed to understand these procedures, the unusual variant anatomy that can affect treatment and outcomes, and the field’s current limitations.

In this age when we are witnessing a veritable explosion in new modalities in diagnos tic imaging we continue to have a great need for detailed studies of the vascularity of the brain in patients who have all types of cerebral vascular disease. Much of the understanding of cerebral vascular occlusive lesions which we developed in the last two decades was based on our ability to demonstrate the vessels that were affected. Much experimental work in animals had been done where major cerebral vessels were obstructed and the effects of these obstructions on the brain observed pathologically. However, it was not until cerebral angiography could be performed with the detail that became possible in the decades of the '60 's and subsequently that we could begin to understand the relationship of the obstructed vessels observed angiographically to the clinical findings. In addition, much physiologic information was obtained. For instance, the concept ofluxury perfusion which is used to describe non-nutritional flow through the tissues was observed first angiographically although the term was not used until LASSEN described it as a pathophysiological phenomenon observed during cerebral blood flow studies with radioactive isotopes. The concept of embolic occlusions of the cerebral vessels as against thrombosis was clarified and the relative frequency of thrombosis versus embolism was better understood. The concept of collateral circulation of the brain through so-called meningeal end-to end arterial anastomoses was vastly better understood when serial angiography in obstructive cerebral vascular disease was carried out with increasing frequency.